Hi. Noted the history about your house owner. He has multiple and may be unrelated to each other problems hence all the diseases needs to be tackled separately and may not get treated simultaneously. For example, DNS that is deviated nasal septum needs clinical evaluation by an ENT Surgeon along with CT scan of nose and sinuses which will decide whether he needs corrective surgery or not. GED is a long standing disease needing long term treatment after appropriate investigations by an Upper GI Endoscopy and Barium studies. IF mild then a PPI like Pantoprazole and Domperidone should help him a lot and control of stress and anxiety along with dietary restriction may help a lot. If there is associated symptomatic hiatus hernia then a corrective surgery may be needed. Lumbosacral pain and peri-arthritis of right shoulder will be well dealt with by an Orthopedic Surgeon. Dyslipidemia, vascular headache and CORD will be dealt with as per the presentation and investigations. Hence he needs a multi-disciplinary approach and thus cost can be calculated after proper clinical evaluation, examination and investigations by respective Specialists. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon